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1114770278
CARLOS DAVID MATOS TIRADO
BRONX, NY
NPI
1114770278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
CARLOS DAVID MATOS TIRADO
111 EAST 210 STREET
BRONX, NY 10467
Phone number: 718-920-4321
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Mailing Address
CARLOS DAVID MATOS TIRADO
111 EAST 210 STREET
BRONX, NY 10467
Phone number: 718-920-4321
Copy
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